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Year :2017
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Month :
September-October
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Volume :
6
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Issue :
4
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Page :
RC01 - RC03
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A Rare Case of Atretic Uterus Causing Compression Over the Sigmoid Colon
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Correspondence Address :
SHIRISH VAIDYA, NIYATI SHARMA,
Dr. Niyati Sharma,
Lifeline Hospital, C-43, Site C,
U.P.S.I.D.C., Sikandara, Agra-282007, Uttar Pradesh, India.
E-mail: niyati.sharma.1990.ns@gmail.com
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Introduction: In pseudo-hermaphroditism a person is born with primary sex characteristics of one sex but develops the secondary sexual characteristics of different sex from what would actually be expected on the basis of the primary sex (testis or ovaries). Sometimes, there is partial appearance of the either of the external sex organs together that is a one between a typical penis and clitoris. In rest of the cases, the expected external sex organs are seen. Thus, pseudo-hermaphroditism can be difficult to identify until puberty. The condition may also remain hidden until adulthood. Male pseudo-hermaphroditism is an individual with XY karyotype and testes is present with a partial or complete female phenotype. This condition is attributed to hypoandrogenism in XY individuals. There is a lack in the action or presence of testosterone and dihydrotestosterone. This is a case report of a 60-year-old male who presented to the surgery out-patient services with complain of lower abdominal pain since 6 months. After proper clinical history and consent, the patient was subjected to endoscopy and contrast enhanced CT of abdomen. On endoscopy, there was restriction at passing the probe beyond the distal end of sigmoid colon and the probe could not be passed beyond it. A stricture of unknown etiology was reported. CT revealed an ill-defined elongated enhancing soft tissue lesion noted in right side of pelvis superolateral to the urinary bladder causing compression over the sigmoid colon with no obvious bowel connection. Exploratory laparotomy was then performed which revealed an elongated soft tissue lesion adherent to the sigmoid colon without obvious communication to the bowel lumen. The organ of origin could not be confirmed. The lesion was excised and sent for histopathology which revealed atretic uterine tissue.
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